Reminder Systems for Self uterine massage in the prevention of postpartum blood loss
Obstetrics and Gynaecology (East Africa)
Background: Uterine massage may significantly reduce post partum blood loss and could be patient-driven.
Objective: To assess the effectiveness of an alarm reminder system for self uterine massage in the prevention of post partum blood loss.
Design: A random controlled trial.
Setting: Meru District Hospital, Kenya.
Subjects: One hundred and twenty seven (127) women were randomly assigned to a 15 minute alarm reminder system (71) and non-alarm (56) control arm during the fourth stage of labour.
Results: Uterine massage compliance was better in the alarm group compared to the non-alarm group ( Average massage of seven and two in two hours respectively P-value <0.0001), however the difference in blood loss was not significant 45.6 ml (95% CI 43-46) vs 47.1 ml (95% CI 43-52)ml p-value 0.892.
Conclusion: Uterine massage compliance is remarkably increased by the use of an alarm reminder.
East African Medical Journal
Ngichabe, S. K.,
Gatinu, B. W.,
Nyangore, M. A.,
(2012). Reminder Systems for Self uterine massage in the prevention of postpartum blood loss. East African Medical Journal, 89(4), 128-133.
Available at: http://ecommons.aku.edu/eastafrica_fhs_mc_obstet_gynaecol/136